Younger children and infants will have difficulties in concentrating their urine and are not able to reabsorb water effectively. Their urine may have a light yellow or a watery appearance in this case. A child may not urinate voluntarily until he/she reaches 18 to 24 months of age. The child must be able to recognize the feeling of the fullness of the bladder. Holding urine for 1 to 2 hours or communicating to you in his/her sense to urinate may prove difficult. As a mother you will need understanding and a lot of patience in handling with these problems.
Aging also impairs the ability to void, problems in moving around makes it hard for the older person to reach a toilet just in time to void, or an older person may be too weak to rise and go to the toilet with no assistance. Diseases in the old age adult such as Parkinsonism or stroke impairs his/her sense of balance and make it difficult to stand while urinating. Older men also may have benign prostatic hypertrophy, which is a risk factor to urinary retention and incontinence. Here are certain factors that contribute to voiding problems.
Sociocultural Factors = While American toilets may be very private, there are some toilet facilities on other countries that makes somebody feel ashamed to urinate. Somebody who is less sensitive may have no problem with urinating in a wall or in public (facing his back of course). But most people need to go to a private C.R. to urinate properly.
Psychological Factors = Anxiety and stress may cause a sense of urgency and may increase the frequency in trying to urinate. Any anxious person may want to urinate even after having just done so.
Personal Habits = Some people need distraction in order for them to urinate, for example, some people need to say words resembling to a flowing water to be able to urinate.
Muscle Tone = Weak muscles of the abdomen and the pelvis may impair our urination. Remember, that when a muscle is not stretched out regularly, atrophy may develop. This is why prolonged immobility and menopausal atrophy usually causes difficulty in urination.
Volume = Sometimes the ability to urinate varies on how much food you ate or how much fluid you drank. Increased intake means increased output. The volume of the urine that is formed at the night is about half as that formed on the day because intake and metabolism declines. Having a fever also influences urine production; the person may lose large amounts of fluids invisibly if he/she is diaphoretic, and may have decreased urination.
Diseases Causing Difficulty In Urination
Diseases like diabetes mellitus and multiple sclerosis may cause conditions that alter the functioning of the bladder. Some diseases that slow down physical activity may also interfere with voiding; these diseases include but are not limited to Rheumatoid arthritis, degenerative joint diseases and Parkinsonís may make the toilet a lot harder to reach.
Then there are the diseases that cause irreversible damage to the urinary system like chronic or end-stage renal diseases. Treatment options for these types of diseases are expensive and may include surgery or a transplant. Dialysis is a more common method of treatment for chronic or end-stage renal diseases.